Individual
DITASHREE DEVKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2810 W SAINT ISABEL ST STE 201, TAMPA, FL 33607-6375
(813) 890-8004
(813) 290-9691
Mailing address
PO BOX 20065, TAMPA, FL 33622-0065
(813) 890-8004
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2016-0909
NM
207R00000X
Internal Medicine Physician
Primary
ME163801
FL
390200000X
Student in an Organized Health Care Education/Training Program
63433
—
Other
Enumeration date
07/11/2014
Last updated
01/31/2024
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